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Electronic Health Records

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[The actual directions of digital development of health care system].

Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny
The article presents results of analysis of current trends, challenges and prospects of health care digitization. The key directions of digital transformation are considered: telemedicine, implementation of e-medical records, application of AI, Big D...

Automated generation of discharge summaries: leveraging large language models with clinical data.

Scientific reports
This study explores the use of open-source large language models (LLMs) to automate generation of German discharge summaries from structured clinical data. The structured data used to produce AI-generated summaries were manually extracted from electr...

Identification of predictive subphenotypes for clinical outcomes using real world data and machine learning.

Nature communications
Predicting treatment response is an important problem in real-world applications, where the heterogeneity of the treatment response remains a significant challenge in practice. Unsupervised machine learning methods have been proposed to address this ...

Evaluation and Bias Analysis of Large Language Models in Generating Synthetic Electronic Health Records: Comparative Study.

Journal of medical Internet research
BACKGROUND: Synthetic electronic health records (EHRs) generated by large language models (LLMs) offer potential for clinical education and model training while addressing privacy concerns. However, performance variations and demographic biases in th...

A Deep Learning-Enabled Workflow to Estimate Real-World Progression-Free Survival in Patients With Metastatic Breast Cancer: Study Using Deidentified Electronic Health Records.

JMIR cancer
BACKGROUND: Progression-free survival (PFS) is a crucial endpoint in cancer drug research. Clinician-confirmed cancer progression, namely real-world PFS (rwPFS) in unstructured text (ie, clinical notes), serves as a reasonable surrogate for real-worl...

Scientific Evidence for Clinical Text Summarization Using Large Language Models: Scoping Review.

Journal of medical Internet research
BACKGROUND: Information overload in electronic health records requires effective solutions to alleviate clinicians' administrative tasks. Automatically summarizing clinical text has gained significant attention with the rise of large language models....

Extracting Multifaceted Characteristics of Patients With Chronic Disease Comorbidity: Framework Development Using Large Language Models.

JMIR medical informatics
BACKGROUND: Research on chronic multimorbidity has increasingly become a focal point with the aging of the population. Many studies in this area require detailed patient characteristic information. However, the current methods for extracting such inf...

Assessment and Integration of Large Language Models for Automated Electronic Health Record Documentation in Emergency Medical Services.

Journal of medical systems
Automating Electronic Health Records (EHR) documentation can significantly reduce the burden on care providers, particularly in emergency care settings where rapid and accurate record-keeping is crucial. A critical aspect of this automation involves ...

Lexical associations can characterize clinical documentation trends related to palliative care and metastatic cancer.

Scientific reports
Palliative care is known to improve quality of life in advanced cancer. Natural language processing offers insights to how documentation around palliative care in relation to metastatic cancer has changed. We analyzed inpatient clinical notes using u...

Enhanced effective convolutional attention network with squeeze-and-excitation inception module for multi-label clinical document classification.

Scientific reports
Clinical Document Classification (CDC) is crucial in healthcare for organizing and categorizing large volumes of medical information, leading to improved patient care, streamlined research, and enhanced administrative efficiency. With the advancement...